Evidence map›Paper›PMID 28315126›Full record

ArticleFrontiers of medicine2017

Screening for main components associated with the idiosyncratic hepatotoxicity of a tonic herb, Polygonum multiflorum.

Chunyu Li, Ming Niu, Zhaofang Bai, Congen Zhang, Yanling Zhao, Ruiyu Li, Can Tu, Huifang Li, Jing Jing, Yakun Meng and 9 more

Erratum issuedAbstract read
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In one paragraph

Article in Frontiers of medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Processing ofFrontiers in pharmacology · 2024
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  5. New Insights into Herb-Induced Liver Injury.Antioxidants & redox signaling · 2023
    Review
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  7. Transformation of Stilbene Glucosides FromFrontiers in pharmacology · 2022
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  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Herb-Induced Liver Injury Related toFrontiers in pharmacology · 2021
    Review
  16. Article
  17. Article
  18. Susceptibility-Related Cytokine Panel for Prediction ofJournal of inflammation research · 2021
    Article
  19. Review
  20. 2,3,5,4'-Tetrahydroxy-stilbene-2-Pharmaceutical biology · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Chunyu LiChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Ming NiuChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Zhaofang BaiChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Congen ZhangChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Yanling ZhaoChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Ruiyu LiChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Can TuChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Huifang LiShanxi University of Traditional Chinese Medicine, Taiyuan, 030619, China.
Jing JingIntegrative Medical Center, 302 Military Hospital, Beijing, 100039, China.
Yakun MengChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Zhijie MaChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Wuwen FengChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Jinfa TangChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China.
Yun ZhuIntegrative Medical Center, 302 Military Hospital, Beijing, 100039, China.
Jinjie LiBeijing Union University, Beijing, 100101, China.
Xiaoya ShangBeijing Union University, Beijing, 100101, China.
Zhengsheng ZouDiagnosis and Treatment Center for Non-infectious Diseases, 302 Military Hospital, Beijing, 100039, China.
Xiaohe XiaoIntegrative Medical Center, 302 Military Hospital, Beijing, 100039, China. pharmacy302xxh@126.com.
Jiabo WangChina Military Institute of Chinese Medicine, 302 Military Hospital, Beijing, 100039, China. pharm_sci@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The main constituents of a typical medicinal herb, Polygonum multiflorum (Heshouwu in Chinese), that induces idiosyncratic liver injury remain unclear. Our previous work has shown that cotreatment with a nontoxic dose of lipopolysaccharide (LPS) and therapeutic dose of Heshouwu can induce liver injury in rats, whereas the solo treatment cannot induce observable injury. In the present work, using the constituent "knock-out" and "knock-in" strategy, we found that the ethyl acetate (EA) extract of Heshouwu displayed comparable idiosyncratic hepatotoxicity to the whole extract in LPS-treated rats. Results indicated a significant elevation of plasma alanine aminotransferase, aspartate aminotransferase, and liver histologic changes, whereas other separated fractions failed to induce liver injury. The mixture of EA extract with other separated fractions induced comparable idiosyncratic hepatotoxicity to the whole extract in LPS-treated rats. Chemical analysis further revealed that 2,3,5,4'-tetrahydroxy trans-stilbene-2-O-β-glucoside (trans-SG) and its cis-isomer were the two major compounds in EA extract. Furthermore, the isolated cis-, and not its trans-isomer, displayed comparable idiosyncratic hepatotoxicity to EA extract in LPS-treated rats. Higher contents of cis-SG were detected in Heshouwu liquor or preparations from actual liver intoxication patients associated with Heshouwu compared with general collected samples. In addition, plasma metabolomics analysis showed that cis-SG-disturbing enriched pathways remarkably differed from trans-SG ones in LPS-treated rats. All these results suggested that cis-SG was closely associated with the idiosyncratic hepatotoxicity of Heshouwu. Considering that the cis-trans isomerization of trans-SG was mediated by ultraviolet light or sunlight, our findings serve as reference for controlling photoisomerization in drug discovery and for the clinical use of Heshouwu and stilbene-related medications.

Indexed as

Alanine TransaminaseAnimalsAspartate AminotransferasesChemical and Drug Induced Liver InjuryDrugs, Chinese HerbalFallopia multifloraLipopolysaccharidesLiverMaleMedicine, Chinese TraditionalMetabolomicsPlant ExtractsRatsRats, Sprague-DawleyStilbenesAlanine TransaminaseAspartate AminotransferasesDrugs, Chinese HerbalLipopolysaccharidesPlant ExtractsStilbenescis-trans isomerizationidiosyncratic hepatotoxicitymetabolomicsPolygonum multiflorumstilbene

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.